Cash Applications Analyst II

JOB DESCRIPTION:

The Cash Applications Analyst is a critical thinker responsible for processing & posting payments received that are not posted through automation. This role requires the ability to interpret an EOB and input that detail into Epic. The Cash Applications Analyst will work through errors which accompany a payment or correspondence and resolve those through the guidance of the Cash Applications Specialist and/or Supervisor. This position will support the Cash Applications Specialist and Cash Applications Supervisor as needed and function as a subject matter expert (SME) for specific workflows and/or payor processes as outlined in the essential duties. This role will collaborate with trainers and develop internal documentation to support processes. The Cash Applications Analyst may, from time to time, be required to complete clerical tasks such as scanning, faxing and outreach to payers. Cross-functional collaboration will be an integral part of success in this role.

Essential Duties include but are not limited to the following:

• Ability to follow established processes and procedures and understand downstream impact. •
• Processes requests for payer and patient refunds due.
• Prepare payer trend analysis and deliver results to leadership on defined cadence.
• Ability to support cross-functional partners by acting as SME in projects.
• Act as a mentor to new staff and support training of day-to-day workflows.
• Ability to pull and provide audit support for various requests.
• Ability to interpret and act upon CRMs received.
• Stay current with relevant medical billing regulations, rules, and guidelines.
• Excellent problem-solving abilities and organizational skills.
• Excellent quantitative and analytical skills.
• Efficiently and accurately post a high volume of payments and/or correspondence in defined TAT.
• Ability to identify missing pertinent payment information and conduct necessary research to resolve, including leveraging portals & conducting outreach to payers.
• Ability to identify deviations in established processes and is able to communicate the issue(s) to leadership for resolution.
• Monitor credit balances and determine validity of existing credit on account and take appropriate end steps to resolve.
• Review correspondence and appropriately classify the documentation for downstream resolution.
• Understands professional and medical billing and how these transactions flow through Epic including claims, remittances, and provider level blocks.
• Proficient in analyzing, researching, and resolving claim issues applying federal, state, and payor rules and procedures with a high degree of independence.
• Provide ad-hoc support as necessary within the department (i.e. special projects, provide support due to outages/high volume).
• Maintain a positive attitude with excellent interpersonal skills and the ability to interact and build solid working relationships with peers at all levels of the organization.
• Self-motivated, detail oriented, and focused to perform quality work with excellent time management skills and reliability without constant supervision.
• Ability to effectively communicate verbally or in writing with all levels of the organization and with external partners.
• Adaptable, open to change and able to work in ambiguous situations and respond to latest information and unexpected circumstances.
• Ability to organize work, set priorities, and work effectively in a diverse, fast-paced environment.
• Detail oriented, problem solver/analytical, flexible and self-motivated.

Minimum Qualifications:

• Proficient in Microsoft Office.
• Proficient computer skills to include internet navigation, email usage, and word processing.
• Experience with Epic or other EHR System.
• Authorization to work in the United States without sponsorship.
• Associates degree or High School Degree/General Education Diploma and 2+ years of experience in medical or insurance billing in lieu of associates degree.
• Demonstrated ability to perform the Essential Duties of the position with or without accommodation.

Preferred Qualifications:

• Bachelor’s degree in business, healthcare or related field.
• 4+ years of medical billing and collections experience.
• Experience with OnBase.
• Experience with processing virtual payments.
• Medical billing certification.

The base pay for this position is

In specific locations, the pay range may vary from the range posted.

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